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			What next?? What if a prisoner says they have Body Dysmorphism Disorder (BDD) and wants to have plastic surgery because they cant go on living in the body they hate. Do we allow this? Do we allow them to get inplants and injections and so on? BDD is just as pervasive  of a disorder as GID. People with BDD have cut off parts of their bodies, to rid themselves of their perceived flaws. They have starved themselves to death. They have committed suicide. In prison, I doubt we would entertain surgery as an option. Mental health counseling, yes. But not surgery.
		 
		
		
		
		
		
		
			
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 BDD, unlike dysphoria, can be "treated" or "cured" through counseling and psychiatric medication. It is not necessary to change the body part in order to take away the sensation that something should not be there/should be there, and appears to be caused by chemical imbalance in the brain. With dysphoria in transguys or transwomen, it is not something that disappears or is reduced through counseling or psychiatric medication, as it is not related to a chemical imbalance, but, instead, research suggests the actual sexual makeup of the brain is congruent with that of the sex the individual identifies with. Mental health counseling does very, very little for dysphoria, and even the trans-friendly medical community is beginning to understand this (hence, the changes in protocol as far as starting HRT and getting SRS; as in, you no longer need a letter to do it).  | 
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